Tennis Coaching Enrolment Form

St Andrew's Gardiner Tennis Club, 2 Kyarra Road, Glen Iris 3146
Name *
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Date of birth *
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Email *
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Emergency contact name *
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Mobile Phone no *
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All sessions 4.45pm - 5.45pm
Days available
Payment can be made by cash, cheque or EFT 033-070 acc no 212560
$200 for 10 week term
Richard Bruce-Smith 0419 560 722
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